| NPI | 1912058421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA FAIGEL President 617-567-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20485) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2008-04-03 |